Evans, Kelsi

Evans, Kelsi is an individual health care provider with primary practice located at 932 N Rutledge St , Springfield IL 62702-3721. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Evans, Kelsi can be contacted via phone (217) 788-3948.

Contact Information

Primary practice address
932 N Rutledge St Springfield IL 62702-3721
Phone: (217) 788-3948
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164005728 Illinois

Profile Details

NPI number 1972047348
LBN Legal business name Evans, Kelsi
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2016
Last updated Dec 5th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972047348 NPPES
Illinois Other 1076575 CDR

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